FREE: Forms will be completed for free if brought with the child to the well check visit.
TIME: Forms take from 7 – 10 business days to complete.
FEES: $10 for a single page form
$15 for multiple page form
RUSH FEE: There will be an additional $25 fee to have a form complete within 24 hours.
Please Complete the parent portion of the form and include payment.
We will call you when the form is completed and ready for pick up.
You can pick up the form, or include a self-addresses, stamped envelope and we will mail the form to you.